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dc.contributor.authorReilly, S
dc.contributor.authorMcCabe, C
dc.contributor.authorMarchevsky, N
dc.contributor.authorGreen, M
dc.contributor.authorDavies, L
dc.contributor.authorIves, N
dc.contributor.authorPlappert, H
dc.contributor.authorAllard, J
dc.contributor.authorRawcliffe, T
dc.contributor.authorGibson, J
dc.contributor.authorClark, M
dc.contributor.authorPinfold, V
dc.contributor.authorGask, L
dc.contributor.authorHuxley, P
dc.contributor.authorByng, Richard
dc.contributor.authorBirchwood, M
dc.date.accessioned2021-11-15T12:19:58Z
dc.date.available2021-11-15T12:19:58Z
dc.date.issued2021-03
dc.identifier.issn2056-4724
dc.identifier.issn2056-4724
dc.identifier.othere53
dc.identifier.urihttp://hdl.handle.net/10026.1/18357
dc.description.abstract

<jats:sec id="S2056472421000107_sec_a1"> <jats:title>Background</jats:title> <jats:p>There is global interest in the reconfiguration of community mental health services, including primary care, to improve clinical and cost effectiveness.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a2"> <jats:title>Aims</jats:title> <jats:p>This study seeks to describe patterns of service use, continuity of care, health risks, physical healthcare monitoring and the balance between primary and secondary mental healthcare for people with severe mental illness in receipt of secondary mental healthcare in the UK.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a3" sec-type="methods"> <jats:title>Method</jats:title> <jats:p>We conducted an epidemiological medical records review in three UK sites. We identified 297 cases randomly selected from the three participating mental health services. Data were manually extracted from electronic patient medical records from both secondary and primary care, for a 2-year period (2012–2014). Continuous data were summarised by mean and s.d. or median and interquartile range (IQR). Categorical data were summarised as percentages.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a4" sec-type="results"> <jats:title>Results</jats:title> <jats:p>The majority of care was from secondary care practitioners: of the 18 210 direct contacts recorded, 76% were from secondary care (median, 36.5; IQR, 14–68) and 24% were from primary care (median, 10; IQR, 5–20). There was evidence of poor longitudinal continuity: in primary care, 31% of people had poor longitudinal continuity (Modified Modified Continuity Index ≤0.5), and 43% had a single named care coordinator in secondary care services over the 2 years.</jats:p> </jats:sec> <jats:sec id="S2056472421000107_sec_a5" sec-type="conclusions"> <jats:title>Conclusions</jats:title> <jats:p>The study indicates scope for improvement in supporting mental health service delivery in primary care. Greater knowledge of how care is organised presents an opportunity to ensure some rebalancing of the care that all people with severe mental illness receive, when they need it. A future publication will examine differences between the three sites that participated in this study.</jats:p> </jats:sec>

dc.format.extente53-
dc.format.mediumElectronic
dc.languageen
dc.language.isoen
dc.publisherRoyal College of Psychiatrists
dc.subjectPrimary healthcare
dc.subjectcommunity mental healthcare
dc.subjectsevere mental illness
dc.subjectservice utilisation
dc.subjectcontinuity of care
dc.titleStatus of primary and secondary mental healthcare of people with severe mental illness: an epidemiological study from the UK PARTNERS2 programme
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000617911400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue2
plymouth.volume7
plymouth.publication-statusPublished
plymouth.journalBJPsych Open
dc.identifier.doi10.1192/bjo.2021.10
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2021-01-08
dc.rights.embargodate2021-11-16
dc.identifier.eissn2056-4724
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1192/bjo.2021.10
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2021-03
rioxxterms.typeJournal Article/Review


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